| Authentic Life Llc | |
|
224 W Maple Ave Independence MO 64050-2816 | |
| (816) 381-7690 | |
| (816) 381-7652 |
| Full Name | Authentic Life Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 224 W Maple Ave, Independence, Missouri |
| Authorized Official Name and Position | Laurie L Carpenter (OWNER/THERAPIST) |
| Authorized Official Contact | 8163817690 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Authentic Life Llc 224 W Maple Ave Independence MO 64050-2816 Ph: (816) 381-7690 | Authentic Life Llc 224 W Maple Ave Independence MO 64050-2816 Ph: (816) 381-7690 |
| NPI Number | 1437815255 |
|---|---|
| Provider Enumeration Date | 11/16/2021 |
| Last Update Date | 08/17/2022 |
| Certification Date | 08/17/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437815255 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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